| Doctor Name: | ALEXANDER L LYONS |
| NPI Number: | 1174511638 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CPO |
| License Number: | |
| Business Practice Address: | 123 Waccamaw Medical Park Dr Conway, SC - 295268902 |
| Business Phone Number: | 8433475800 |
| Business Fax Number: | 8433477469 |
| Mailing Address: | 4728 Jenn Dr, Suite 106 MYRTLE BEACH |
| State: | SC |
| Postal Code: | 295775714 |
| Phone Number: | 8438399202 |
| Fax Number: | 8434672560 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |